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NPI 1902855604

NPI 1902855604 : NORTHWEST COLORADO EMERGENCY PHYSICIANS : CANON CITY, CO

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General NPI Number Information
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    NPI Number           |    1902855604
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTHWEST COLORADO EMERGENCY PHYSICIANS 
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Dates
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    Enumeration Date     |    05/09/2006
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    Last Update Date     |    02/04/2009
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Provider Practice Location Address
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    Address Line         |    1338 PHAY AVE 
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    City                 |    CANON CITY
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    State                |    CO
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    Zip                  |    81212-2302
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    Country              |    US
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    Telephone            |    719-285-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    815 S PALAFOX ST STE 300
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32502-5937
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    Country              |    US
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    Telephone            |    800-444-7009
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    Fax                  |    800-305-3233
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Authorized Official
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    Title or Position    |    EVP, EMCARE PHYSICIAN PROVIDERS INC
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    Name                 |    MR. JAMES L MURPHY 
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    Credential           |    
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    Telephone            |    800-362-2731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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